Amerigroup will participate in the multi-payer program sponsored and
administered by CMS’ Center for Medicare and Medicaid Innovation
ISELIN, N.J.–(BUSINESS WIRE)–Amerigroup New Jersey has been selected as a payer participant in the
Centers for Medicare & Medicaid Services’ Comprehensive Primary Care
Plus (CPC+) initiative, a five-year multi-payer model that’s the largest
federal investment in primary care transformation to date.
“Amerigroup’s involvement in CPC+ reflects our belief in the important
role that the primary care doctor can play as both caregiver and
navigator. Amerigroup supports that role by providing physicians with
actionable information, tools and resources to improve care,” said John
Koehn, Amerigroup New Jersey state plan president. “The purpose of CPC+
is to deliver better health, improved care and lower costs to people
enrolled in our Medicaid and Medicare Advantage programs, particularly
those with the highest health care needs.”
Today’s announcement means Amerigroup will build on its participation in
the existing Comprehensive Primary Care Initiative (CPCi) in New Jersey,
a smaller model that launched in 2012 and will sunset at the end of
2016. CPC+ represents an opportunity to build on the success of CPCi
along with the other value-based, patient-centered care programs that
Amerigroup has grown over the past four years.
“Amerigroup has demonstrated our commitment to payment innovation and
provider collaboration,” said Koehn. “Our selection as a payer
participant in CPC+ presents an opportunity to collaborate with CMS,
providers and other payers to continue to shift our delivery system to
one that rewards quality and value.”
Amerigroup currently works with 26 provider practices across New Jersey
under its own value-based, patient-centered shared savings program for
the Medicaid population. Those practices have more than 53,000
Amerigroup of New Jersey Medicaid members attributable to them, which is
26 percent of total Amerigroup Medicaid membership.
Building on the medical home concept, the CPC+ initiative intentionally
aligns multi-payer payment reform with practice transformation, holding
practices accountable for total cost of care and quality improvement.
Under this initiative, practices will be able to engage in systematic
data sharing and collaborative learning experiences and will also have
an opportunity to share savings achieved. CMS sought to collaborate with
other payers in 20 markets and will work with health information
technology vendors to provide products to advanced CPC+ practices.
New Jersey providers who want to participate in CPC+ must apply to CMS
and will be announced later this year.
Amerigroup is an HMO plan with a Medicare contract. Enrollment in
Amerigroup depends on contract renewal. This information is not a
complete description of benefits. Contact the plan for more information.
Limitations, copayments, and restrictions may apply. Benefits, premiums
and/or co-payments/co-insurance may change on Jan. 1 of each year. The
formulary, pharmacy network, and/or provider network may change at any
time. You will receive notice when necessary.
You must continue to pay your Medicare Part B premium.
This plan is available to anyone who has both Medical Assistance from
the State and Medicare. Premiums, co-pays, co-insurance and deductibles
may vary based on the level of Extra Help you receive. Please contact
the plan for further details.
Amerigroup is part of the Anthem Government Business Division (GBD).
Through the GBD, Anthem serves 7.4 million seniors, people with
disabilities, low-income families and other state and federally
sponsored beneficiaries, and National Government Services enrollees
(including the Federal Employee Program) in 26 states, making us one of
the nation’s leading providers of health care solutions for public
programs. Amerigroup accepts all eligible people regardless of age, sex,
race or disability.
Doug Bennett Jr., (502) 889.2103